Journal of the American Psychiatric Nurses Association最新文献_第5页

Exploring Motivations and Barriers: A Mixed-Methods Study of Precepting Among Advanced Practice Behavioral Health Nurses. 探索动机和障碍：高级实践行为健康护士的混合方法研究。

IF 2.1 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2026-07-01 DOI: 10.1177/10783903261457104

Stacey D Green, Lynda Creighton-Wong, Vanndy L Loth, Elizabeth I Rice, Janet Meda, Christopher Cleary

{"title":"Exploring Motivations and Barriers: A Mixed-Methods Study of Precepting Among Advanced Practice Behavioral Health Nurses.","authors":"Stacey D Green, Lynda Creighton-Wong, Vanndy L Loth, Elizabeth I Rice, Janet Meda, Christopher Cleary","doi":"10.1177/10783903261457104","DOIUrl":"10.1177/10783903261457104","url":null,"abstract":"Background: Preceptors are vital in shaping the clinical education of psychiatric and mental health nurse practitioners (PMHNPs). A shortage of behavioral health providers has led to calls for increased capacity in PMHNP programs. Growing competition for sites and concerns for the recruitment and retention of qualified preceptors mean fewer placements.Aims: The purpose of this study was to identify motivations and barriers that current PMHNPs encounter when deciding to precept students. In addition, we aimed to analyze the relationship between demographic variables and the likelihood of precepting.Methods: The investigators developed and administered an online survey to collect demographic and other qualitative and quantitative data from 93 currently practicing PMHNPs, recruited via professional networks, nursing associations, and social media platforms. Data were analyzed in Qualtrics, and results were reported using descriptive statistics.Results: Common motivational themes include contributing to the future of the profession, mentorship, teaching, and maintaining a connection to academic faculty and institutions. Frequently cited challenges associated with precepting responsibilities included time constraints, competing clinical demands, paperwork and administrative burden, student professionalism, and lack of compensation for precepting work.Conclusion: Findings revealed a framework for creating incentives for precepting, including university perks, title, recognition, access, appreciation, organizational discounts, and a built-in compensation structure, with time reported as being most valuable. We developed an enhanced understanding and identified ways to improve the recruitment and retention of qualified preceptors in this field.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261457104"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148361618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

APNA Position: Licensure, Accreditation, Certification, & Education (LACE) Recommendations. APNA职位：执照、认证、认证和教育（LACE）建议。

IF 2.1 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2026-07-01 Epub Date: 2026-05-28 DOI: 10.1177/10783903261452601

引用次数: 0

The Imperative for Explicit Clinical Reasoning in the Era of a Living DSM. 在生活DSM时代明确临床推理的必要性。

IF 2.1 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2026-07-01 Epub Date: 2026-03-09 DOI: 10.1177/10783903261429447

Raymond Zakhari

引用次数: 0

Effect of Methylphenidate on Heart Rate Variability in Children and Adolescents With ADHD: A Systematic Review and Meta-Analysis. 哌醋甲酯对儿童和青少年多动症患者心率变异性的影响：一项系统回顾和荟萃分析。

IF 2.1 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2026-07-01 DOI: 10.1177/10783903261456725

Sílvia H S Gianini, Andrey A Porto, Rodrigo D Raimundo, Ingrid S de Souza, David M Garner, Vitor E Valenti

{"title":"Effect of Methylphenidate on Heart Rate Variability in Children and Adolescents With ADHD: A Systematic Review and Meta-Analysis.","authors":"Sílvia H S Gianini, Andrey A Porto, Rodrigo D Raimundo, Ingrid S de Souza, David M Garner, Vitor E Valenti","doi":"10.1177/10783903261456725","DOIUrl":"https://doi.org/10.1177/10783903261456725","url":null,"abstract":"Background: Methylphenidate is a first-line psychostimulant widely prescribed for the treatment of attention-deficit/hyperactivity disorder (ADHD). Although its therapeutic efficacy is well established, concerns remain regarding its potential effects on cardiovascular regulation, particularly on autonomic nervous system balance.Aims: To evaluate the effect of methylphenidate on heart rate variability (HRV) in ADHD children and adolescents.Methods: Our review included children and adolescents diagnosed with ADHD, studies wherein the intervention group should receive short- or long-term methylphenidate treatment, studies that evaluated participants under conventional treatment except methylphenidate, single or double-blind, non-blind randomized or non-randomized control studies.Results: No significant changes were observed in time- and frequency-domain HRV indices, with all outcomes presenting very low certainty of evidence.Conclusions: Our results indicate that methylphenidate does not significantly affect resting heart rate HRV in ADHD children and adolescents. The very low certainty of this review's evidence level and high risk of bias warrant further studies to provide stronger scientific and statistical evidence.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261456725"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148361597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cultural Determinants of Pain Experience and Suicidality in Black Women: Informing Personalized Pain Interventions and Psychiatric Nursing Care [Formula: see text]. 黑人女性疼痛经历和自杀倾向的文化决定因素：告知个性化疼痛干预和精神护理[公式：见文本]。

IF 2.1 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2026-07-01 Epub Date: 2026-06-24 DOI: 10.1177/10783903261452627

Vanessa Oliphant, Gabriella Martinez, Courtney Harold, De'ja Broyles, Jennifer Williams, Paul Nabity, Donald McGeary, Meredith Stensland

{"title":"Cultural Determinants of Pain Experience and Suicidality in Black Women: Informing Personalized Pain Interventions and Psychiatric Nursing Care [Formula: see text].","authors":"Vanessa Oliphant, Gabriella Martinez, Courtney Harold, De'ja Broyles, Jennifer Williams, Paul Nabity, Donald McGeary, Meredith Stensland","doi":"10.1177/10783903261452627","DOIUrl":"10.1177/10783903261452627","url":null,"abstract":"Objective: This discussion paper explores the intersection of cultural factors and Black women's experiences with chronic pain and suicidality. It aims to inform the continued development of tailored pain interventions and culturally responsive psychiatric nursing care.Methods: Using existing literature, we identified six domains of cultural factors potentially influencing Black women's pain experiences and suicide risk. The six domains were conceptually organized into two categories: culturally specific risk factors and culturally specific protective factors.Results: In terms of risk factors, the endorsement of the superwoman schema, intersectionality, and history of medical mistrust were identified. For protective factors, spirituality, culture, and reliance on social support were identified.Conclusions: Drawing on the disciplines of African American Studies, Black Psychology, and Clinical Health Psychology, we provide clear recommendations for the development of culturally tailored interventions that can uniquely address Black women's pain and suicide-related experiences while receiving psychiatric nursing care.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"241-251"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148317766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Program Evaluation of Medication Adherence With Long-Acting and Pro-Drug Stimulants in Adolescents Using Telehealth and Hybrid Care Models. 使用远程医疗和混合护理模式评估青少年对长效和亲药物兴奋剂的依从性。

IF 2.1 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2026-06-24 DOI: 10.1177/10783903261461212

Elizabeth Sweet, R N Powell, Jessica Marsack, Jill Fortain, Nancy Crego

{"title":"A Program Evaluation of Medication Adherence With Long-Acting and Pro-Drug Stimulants in Adolescents Using Telehealth and Hybrid Care Models.","authors":"Elizabeth Sweet, R N Powell, Jessica Marsack, Jill Fortain, Nancy Crego","doi":"10.1177/10783903261461212","DOIUrl":"https://doi.org/10.1177/10783903261461212","url":null,"abstract":"Background: Adolescents with attention-deficit/hyperactivity disorder (ADHD) often require long-acting or pro-drug stimulants, but telehealth prescribing is constrained by the Ryan Haight Act's in-person requirements. While pandemic-era waivers temporarily lifted these mandates, their permanent status remains uncertain.Aims: Assess long-acting or pro-drug stimulant medication adherence using proportion of days covered (PDC) in adolescents with ADHD (12-17) receiving telehealth or hybrid care (2022-2024), comparing rates to post-pandemic (April 2020-June 2022) adherence rates in urban pediatric populations. Examine symptom scores on the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Screening (GAD-2), and ADHD Symptom and Side Effect Tracking (ASSET). Compare visit attendance between telehealth and hybrid care.Methods: Program evaluation consisting of retrospective chart reviews, pre-visit surveys, and prescription data on 49 adolescents (21 telehealth and 28 hybrid) in a psychiatric clinic were evaluated.Results: The total sample mean PDC was .381. Hybrid group adherence was .448 and .313 for the telehealth group. PDC was the same as the post-pandemic adherence rate (.310-.440). Paired t-tests comparing GAD-2 scores were (p < .001), PHQ-9 (p < .001), and ASSET (p = .010). Telehealth attendance was lower than hybrid attendance.Conclusions: The hybrid care model showed better adherence and attendance than telehealth for adolescents with ADHD. PDC from this program evaluation was statistically similar to national trends in pediatric ADHD management. Future research must prioritize geographic and digital determinants, understand the impact of polypharmacy, and establish evidence-based strategies to enhance long-term adherence in telehealth care models.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261461212"},"PeriodicalIF":2.1,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148317831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the IMD Exclusion: A Policy Analysis of H.R. 5662 and H.R. 6727. 理解IMD排除：H.R. 5662和H.R. 6727的政策分析。

IF 2.1 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2026-06-23 DOI: 10.1177/10783903261457434

Keith W Quist

{"title":"Understanding the IMD Exclusion: A Policy Analysis of H.R. 5662 and H.R. 6727.","authors":"Keith W Quist","doi":"10.1177/10783903261457434","DOIUrl":"https://doi.org/10.1177/10783903261457434","url":null,"abstract":"Objective: This article describes the federal Medicaid Institutions for Mental Diseases (IMD) exclusion and compares legislative proposals introduced in the 119th Congress-House of Representatives Bill (H.R.) 5662 and H.R. 6727-that seek to repeal this policy.Methods: A descriptive policy analysis was conducted using publicly available legislative texts, related federal policy documents, and earlier reviews examining potential impacts of the repeal of the IMD exclusion. The analysis summarizes the statutory basis of the IMD exclusion, reviews existing workarounds, and compares the key mechanisms proposed in H.R. 5662 and H.R. 6727. Potential implications for Medicaid financing and inpatient psychiatric capacity are discussed.Results: The IMD exclusion prohibits federal Medicaid reimbursement for most inpatient psychiatric facilities with more than 16 beds for adults aged 21-64 years, contributing to reliance on state financing and temporary waiver programs. Both H.R. 5662 and H.R. 6727 propose repealing this exclusion. H.R. 5662 would repeal the policy without additional requirements, while H.R. 6727 would also require the U.S. Department of Health and Human Services to establish standards for participating facilities. Repeal would expand eligibility for federal Medicaid funding but would not mandate changes in state utilization or capacity.Conclusions: Recent legislative efforts to repeal the IMD exclusion reflect a growing concern regarding inpatient psychiatric bed shortages and mental health system strain. Understanding the differences between proposed repeal strategies is essential for evaluating how changes in Medicaid financing could affect inpatient psychiatric care and broader behavioral health systems.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261457434"},"PeriodicalIF":2.1,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alcohol Withdrawal Assessment Instruments in Acute Care: An Integrative Review. 急性护理酒精戒断评估工具：一项综合综述

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2026-06-03 DOI: 10.1177/10783903261452642

Alyson Keen, Carmen R Davis, Jason Lilly, Lauren Compton, Rebecca Gerber, Lisa Habegger

{"title":"Alcohol Withdrawal Assessment Instruments in Acute Care: An Integrative Review.","authors":"Alyson Keen, Carmen R Davis, Jason Lilly, Lauren Compton, Rebecca Gerber, Lisa Habegger","doi":"10.1177/10783903261452642","DOIUrl":"https://doi.org/10.1177/10783903261452642","url":null,"abstract":"Background: Alcohol withdrawal is a prevalent challenge to manage in the hospital setting, and left undetected, can lead to life-threatening outcomes. Early identification and intervention are critical to improve morbidity and mortality. Nurses are the primary users of withdrawal assessment instruments in the hospital setting, and recommendations are needed regarding assessment tools that are psychometrically sound and usable.Aims: The purpose of this integrative review was to evaluate and summarize the evidence related to the psychometric testing and usability of alcohol withdrawal assessment tools used in the hospital setting.Methods: The Whittemore & Knafl method was used to conduct the review including the following stages: problem identification, literature search, data evaluation, data analysis and presentation of findings. Inclusion criteria were (a) developed/tested in an English-speaking country, (b) used in an adult population, (c) used in a hospital environment, (d) designed to screen or assess for alcohol withdrawal, and (e) tested for reliability, validity, and/or usability.Results: A total of 17 articles were identified that tested 14 instruments, ranging from 1 to 18 items. Studies were conducted in the United States (n = 7), Europe (n = 4), Canada (n =4), and Australia (n = 1). Validity was evaluated in the highest number of studies (n = 14), followed by reliability (n = 9), and usability (n = 9).Conclusions: This review comprehensively examined reliability, validity, and usability findings of 14 instruments used for the assessment of alcohol withdrawal in the hospital setting. Findings can be used to help inform instrument selection based on psychometric properties and clinical application.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261452642"},"PeriodicalIF":1.7,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148157076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Future is Now: Scaffolding Telemental Health Skills Across the Curriculum to Ensure PMHNP Competency. 未来就是现在：跨课程构建远程心理健康技能，以确保PMHNP能力。

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2026-05-30 DOI: 10.1177/10783903261442919

Karen J Corcoran, Kathryn E Phillips, Joyce Shea

{"title":"The Future is Now: Scaffolding Telemental Health Skills Across the Curriculum to Ensure PMHNP Competency.","authors":"Karen J Corcoran, Kathryn E Phillips, Joyce Shea","doi":"10.1177/10783903261442919","DOIUrl":"https://doi.org/10.1177/10783903261442919","url":null,"abstract":"Objective: To summarize the impact of the rise in Telemental Health (TMH) utilization on psychiatric mental health nurse practitioner (PMHNP) practice and education, and to present direction for PMHNP educators on emerging competencies and lessons learned from evolving TMH curricula.Methods: This discussion paper updates the PMHNP educational environment in the context of the postpandemic rise in TMH and concurrent changes in educational guidelines from the American Association of Colleges of Nursing (AACN) and National Organization of Nurse Practitioner Faculties (NONPF). The integration of telehealth content into nurse practitioner (NP) curricula is presented along with the evolution of one PMHNP program's TMH curriculum from 2019 to 2025. Future directions and recommendations for action for PMHNP educators and practitioners are shared.Results: TMH is here to stay, is well accepted by patients and providers, and holds the potential to improve access to care. Integrating TMH across curricula necessitates the consideration of the unique practice nuances of the discipline of PMH and further study of outcomes.Conclusion: Integrating competency-based TMH education across the curriculum through didactic, simulation, and clinical experiences, and studying and refining existing TMH content, will ensure the future PMHNP workforce is prepared to deliver safe, legal, and effective care to a broader patient population.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261442919"},"PeriodicalIF":1.7,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148101475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Symptoms and Decisions: Psychosis and Police-Led Psychiatric Crisis Intervention Outcomes. 症状和决定：精神病和警察主导的精神危机干预结果。

IF 2.1 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2026-05-28 DOI: 10.1177/10783903261447834

Victor G Petreca, Joanne T Barros, Alexandra A Burgess, Shari L Harding

{"title":"Symptoms and Decisions: Psychosis and Police-Led Psychiatric Crisis Intervention Outcomes.","authors":"Victor G Petreca, Joanne T Barros, Alexandra A Burgess, Shari L Harding","doi":"10.1177/10783903261447834","DOIUrl":"10.1177/10783903261447834","url":null,"abstract":"Background: This study examined how the presence of psychotic symptoms affects police decision-making during behavioral health crisis interventions, with a focus on outcomes of jail diversion, emergency department (ED) diversion, and involuntary hold.Aims: This study aimed to compare intervention patterns for individuals with and without psychotic presentations and to identify demographic, clinical, and operational factors associated with outcomes across groups.Methods: A retrospective analysis of 50,062 police-led crisis encounters recorded in the Massachusetts Department of Mental Health's jail diversion program database between April 2023 and January 2025 was conducted, using stratified mixed-effects logistic regression with program location as a random effect.Results: Psychosis was present in 22.8% of all encounters and was associated with similar rates of jail diversion (87.9% vs. 84.7%) and ED diversion (43.1% vs. 54.3%), and higher rates of involuntary hold (26.1% vs. 11.5%). Assessment in home or community settings was associated with increased ED diversion across populations, while the presence of on-scene emergency or support personnel predicted involuntary hold. Among those with psychosis, charge severity, referral source, and prior police contact were associated with jail diversion, while mood disorder had a stronger association with involuntary hold in the non-psychosis group.Conclusions: Findings highlight the need for population-specific crisis response protocols that integrate clinical features, setting, and referral dynamics. Structured decision-making tools, co-response models, and expanded consultation roles for mental health professionals, including psychiatric nurses, may improve alignment between individual needs and intervention outcomes.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261447834"},"PeriodicalIF":2.1,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0